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Permit • CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2011 -00018 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/10/2011 Parcel: 2S 109DA14800 Jurisdiction: TIGARD Site address: 15294 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 67 Project: Arlington Heights No. 3, Lot 67 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1342 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1542 sf Garage. 450 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors Yes Total: 2884 sf Value. $304,821.38 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less' 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 5 201 -400 amp: 0 201 -400 amp: 0 W/O Svc /Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasin Other: N Other Description: g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2884 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 16869 SW 65TH AVE #505 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 681 -4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503- 387 -7577 PHONE 503- 387 -7577 FAX: 503- 387 -7615 Total Fees: $18,621.83 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or i work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification . - er. Th•se rules are set forth in OAR 952-001-001s hroug' 'AR 952 -00 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5• .2 2.1987 or 1.86 Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection . ate. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Bi ilding Permit ApplicatiollIOISIAIQ OMIQ-Ifl8 ,- giwy .:_, mew k- U lVOLL 40 UI3 Residential , FOR OFFICE`USE ONLY City of Tigard } F O Z ®7 N G' Received Plan .1 Mil PermitNo.: / `G GV` O ® 13125 SW Hall Blvd., Tigard, OR 97223 eiv Revie : !�. n e), `��,�� l ::, :'- Phone: 503.639.4171 Fax: 503.59: / l [ T DateB : ijjj pa Other Permit: ow'�oN -T I GARD inspection Line: 503.639.4175 L �1 Date Remy y: 0 See Page 2 for . - Internet: www.tigard - or.gov Notified/Method: , / L,-' �/1 Supplemental Information - .:�. xnA�,: ,a ... ...r ,i, a a.. » :: �. ,.. r.�-- t'EEt• ff .'�e. a «'$5E- ::: -.. -.a .. -.:, t„ \. .... , , .va...3> •• �fi .. ,., E Y E� E>:»�, n.�:�tE ..:......,.,, ,,,,, ,,,,, �.TYEE O WORK • <. , ,,, . r,�.,,� . „ �"'RE UIl2ED DATAc3i A ND 2='F,, *7 DW ,iffb :_ E . v ... ,......� ...:.. ... .. .. rt. .... ,. - a«� -., t.. .,s,E .. t „-.. ,, ,.t,.,�,.,. - :•..�..< o .';.; ^:et.ttt .. ..- ,. ,. .. ..6':Ytk &hs,':a « - - " '.. .. .. S i•YbtE ,. „ s:��it l.6,a'.::s'.°.a.:. e.dHPe >a,� r'. k ,. �.� ..:.,..mss �..,. ._� ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the 0. : -.A 1 , :=7::: , ,,,. t , �t- :,,: E.R.,:`t:21. K.::°s � )' :z work indicated on this a licati � - � : �• .'� 17 . �;�' :ice' ,tEF,; ".: PP n. R _ At C,ONSTRUC : ON= a;, s. :wit:: x.'_ -;'T �,ss':� =t €tom ntt :��- m_.� T.�itc:ms, -art a,EE3E,,,t:.�: �:.:�.. =;i m,:s€c� -�� �l�? s:. , ��:,?- K ... _ x•:t.2 .tea..... _ ® 1- and 2- family dwelling ❑ Conunercial /industrial _ Valuation: 1 W ):S 3 4, �2I - ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: �t� .�,,.,,.,, �_ „_..,.:::: -:max:: .,,, , .,,- .�::..._._ ,W- ,,,,.,E „��.. .� ?.,- : .x .... ........ ..... .. :. . °. €S €(u�P.. t!EC�.>,t l••: ''�ki:',t' < "5 - ": ':9�';' 3.. t,t F,, Total number of floors: _, - � ;, „_,::;. , �„ ::, .,.., OB:SITE „ IlYF ORMATi01!T�A ND LO CATI,0 1� - _.,- ...- - = k,fu -ra .t..... �-_.,:.. t.. >,:vEEEIX��'.� :'' w x�.a�ds::tlY Ear : tom. . , .... »sJ..�.,,. l T Ft, -.... .. •motto ,�.: �. •,.... , ..;.. ..a -, �- it € ' �` ,a Job site address: ' 45294 SW v VMnw{vonij ' 17✓ f V(, New dwelling area: 2 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 450 square feet Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: r square feet - 54 - 2 2 Cross street/directions to job site: Deck area: leo square feet IZ Other structure area: `12 !A - square feet gb REQLiIR <DA,�T.P kOOLdtME >i2CTAL-'USE;CFIECKLiii Subdivision: Arlington Heights Lot no.: b -7 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all :.;, ;,,,, ; , , ,tr:,r._ - ,:- , >r;'.E�:•€ : € „ :.:,_a ' „�fr` �E� �, :: . t m , ,,..;- m,,;t., work indicated an equipment, materials, a r, overhead, and the profit for the , , °•,:• : €,', ,DES, TION ieir r is application. New, Single Family Residential Valuation: $ Existing building area: square feet New building area: square feet Ett4 .,EE`. -�. t:�'i:. i'- x\, t-�• mow '„ ;' N :PROP.,ER7P :OVI?NEB;;; t:'` TE ,.';; =:ii<; Number of stories: _�� ,e,.�s�� _,_, :- ���tt�t¢ ems «. ...,..... «t - ,. _ ``°;;,;`E„ ,tc t_���xE�F�`: �< > - v`. .....a >,t .. �,�.,,�.. Name: Stone Bridge Homes Type of construction: Y Address: 16869 SW 65th Avenue #505 Occupancy groups: City /State /ZIP: Lake Oswego, OR 97035 Existing: . Phone: (503)387 -7577 Fax: (503)387 -7616 New: i 3 ISM .. .,;., , -, -• E at :�;�:aa>:- ::<: , ,. • : , . APBLI ANT -t � ,::::. ,W..., � , . , E,: ,',,,_ , - , : , CONTACa E;P,•ERSON 3` �' <<: �`•:. -, � i,� ':� =,x.,_ -. E [OF-1, .. ,t �„ C - `, ,.,, x:- .. �,...: � v ,, . _�,';_': �, �'Ja� E , , £ - arts:, -; «, � - ;r - .���: „7y<.a•,:, .r:�:- t:?'E�'. �; %?�OTIGE�� <�� ';;,� €:_, €.,,,,_ ' fit c:<, t.,, .: _ ..... -; Business name: SEE ABOVE All contractors and subcontractors are required to be Contact name: Gayland Forsberg licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) E -mail: gayland @stonebridgehomesnw.com �,�,t y ;.:: a ::t.- sue: °t��e'�:” � Vim:. «,^,� ' «,�.:...�:. , :x- -'t�:; Via CONTRACTOR s. • gy na.= ::r -.__ �..:>�..:z, <_.�.�.- _ .. -_...__.. tearsx >;m:,� >- '��`a= ,. =;;.:Z.«:�t �. A_, x .. ,. ,,.,ate .e. - .�.� Business name: SEE ABOVE ; .r.«'E.;;;a><- a Sa °r-.::,a;` B�ILDINGI?ER1tiiT�F'EE � � � Address: ,,',,.:N: , « , . - (Pie!? se-cefer,;tafeisa dine ,,� , < � , .�x sm moo, «, Structural plan review fee (or deposit): . City /State /ZIP: • FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) CCB lic.: 173318 .et) Total fees due upon application: Amount received: " :, et) Authorized signature: � 1 y�, ' _ '"�'"'� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 1 mac v av4 e IA Date: * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Pennits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02 /COM /WEB) • ,. - .. . Electrical Permit ApplicatiluI - CENED ..,_,': ... . -• -• ,:-..- ,.. ., : 1 OFFICE41SLONLY City of Tigard e Recived i f t , Date/B : f // Ann Permit No.: q 1 3 12 5 SW Hall Blvd., Tigard, OR 972413 I Plan Review ' ', Phone. 503.639.4171 Fax: 503.5981u -.yo 1 " 2 � 2011 Date/13 : Other PennitjUl_ ge)/(---ere / TforARD Inspection Line 503.639.4175 Date Ready/By: tuns' 0 See Page 2 for Internet: www.tigard CITY OF TIGARD Notified/Method: Supplemental Information ';; ViNg"CAZZ:VaiitMZKM.W:7WL New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below): [s] 0 12 Service or feeder 400 amps or more 12 Building over three stories. El Demolition 0 Other: where the available fault current 1:1 Marinas and boatyards. bl■i " clAid.Ttiiiok tiiiiiiiefi i■rg'"'cr'fm'-'"',"-t4AV exceeds 10,000 amps at 150 volts or 0 Floating buildings. -,. , , „ „.4; , i ,'„ , : ',,. 'i.7 ,, g5, ' less to ground, or exceeds 14,000 0 Commercial-use agricultural El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. 1=1 Multi-family 0 Master builder 1=1 Other: El Fire pump. 0 Installation of 75 KVA or 1 M 1 ' , ' ':,' F'i'oi41 '- g!' ''''' ' .17t1 o Emergency system. larger separately derived system. 461 4f C , ,,;4:; , a,, a Wr ff , A ND ,,x,,,,.-:-- - , ,km, ,.. 0 Addition of new motor load of 0 A "1-2" "1-3", 100HP or more. occupancy. Job no.: 14 s c6 Job site address: .25.14 SW 5 u iii nier vi cu.s I) (Clic ID six or more residential units. 1:1 Recreational vehicle parks. City/State/ZIP: Tigard, OR 97223 El Health-care facilities. El Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: Arlington Heights 12 Service or feeder 600 amps or more. WC:kW, WW .SOttiVaRriNg4„ Cross street/directions to job site: Description I Qu. I Fee. I Total I * New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: (a--/ 1,000 sq. ft. or less ii 168.54 ( Ea. add'l 500 sq. ft. or portion 6 33.92 1 b ( 1 Tax map/parcel no.: Limited energy, residential T..'zjiiii::::4 (with above s q' a') 1 76 75 2 Limited energy, multi-family 67.84 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 714**04)*NE,TK.:;.:;;;;:i v4 WVE33::;,40 ' f'i . ..i . N 1 4iNTizi S ,Zinatir 201 amps to 400 amps 133.56 2 Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)387-7577 Fax: (503)387-7615 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps 10 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ilat I a!' 0!t40:10100::r: f :;1 at i aggli*r c ON ji PERSON above service or feeder fee 7.42 2 each branch circuit Business name: SEE ABOVE B. Fee for branch circuits without service or feeder fee, Contact name: Gayland Forsberg 56.18 2 fi rst branch circuit Address: Each add'l branch circuit 7.42 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling, service and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E-mail: gayland@stonebridgehomesnw.com Pump or irrigation circle 67.84 2 lipl:`:",. CONTRACTOR r .: „,;.:,.M.W.95.11,,:,:i0:0111 Sign or outline lighting 67.84 2 Business name: City Electric Signal circuit(s) or limited energy panel, alteration, or Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2 City/State/ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above Per 'inspection 66.25 Phone: (971) 404-1714 Fax: (503) 625-3052 Investigation per hour (I hr min) 66.25 CCB Lie.: 42422 Electrical Lie.: 26-289C Suprv. Lic.:"35911 Industrial plant per hour 78.18 4 litt1000007 Suprv. Electrician signature, required: Subtotal: Print name: Chuck Friesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): ,' Aeo Authorized signature: , e ... „,, (.... TOTAL PERMIT FEE: .4 6Z, , 7 2... This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I: \ BuildingWermits \ELC-PermitApp.doc 10/01/09 440-4615T(11/05/CONI/WEB • , 4 Mechanical Permit Application CErVED f OR :OFFICE 1.1,$E ONLY , City of Tigard JAN ® Received DatePlan /By: Review / Permit No.: !'/ T Of ? ? _ 00 /" 2 rS r q J �� f v. 13125 SW Hall Blvd., Tigard, OR 97223 'J 1 ! Phone: 503.639.4171 Fax: 503.598.8 O� Date/By: Other Permit:ap(/ l 7 II TI GARD: Ins Line: 503 � UI 1 i� TI y y: ® See Page 2 for RD Internet: www.tigard or.gov L D IN G DI VISION Da te Read B Suns: Notified/Method Supplemental Information -..< x.. -- : ...: ,- .:.- � .�,..;.,. <. z, ... - � ; . �:.:: -�_:, : � ,;� �.,t .�;.:.:.' 6�` ' > R ° `F E �:5 °HED. � . �I75E•`CHEC .:.. - - <-- p ,..., .w .•; TYPE WORK .� " MME CIAL ,E C UL :... _ KLISTK?; :<,#9 ,•.`i�a• ® New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. .� ;,r�,.f =� �n =i� � ,�,. -:: • :::,i � _,,, , .: Value $ 4 `CATEGt3RY :OI OIVSTRUCT1ON,, E =_ :;::' ,��� ,:�1 ,:....- ._ „.,- >, . ,_:.. >. >...... - �N'�:.,,, ,- � s, �•: ENTIA . Y:,•, MS F E - °:�:;. ,: '..,rte` �,x=. - -: - . :- -. ....,:.,. , ': ? REs„0. - -==.;,'L EQi l iS F - .,_-_=.. , E ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total nr: g ` JOB:: SITS= II 1 MATION`vAND ;I O.CA'TION ; _ >'< ' 4`' '' i:;' _ Heating/cooling Air conditioning Job site address: 152 SW S M </ 1. 03 ph v( (requires site plan showing placement) 46.75 City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts /vents) ( 46.75 4(cs 7'5 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: (p--7 Other: 23.32 Tax map /parcel no.: Other fuel appliances '`i�, ,,;;.,_ : .. Water heater f 23.32 ��j, "yJ i {, ✓Ex, y; {e Ei�tb .. .:.>':',',s,"''.rw„''a :.�4 .. `„ii. =x✓ ,E.,; „, ��,,. ,;,;,,,;; ,,,,,, „.....;�,.:< DESCRTI'TIONx�OF WORK, :�.: r< =,,.:�_ °� ., � .,•�:�v,. ,-- ,...�.,, >9M•^ �- y- � <,�r,s ,��. �-_” " ".�`' ��,_ :�� sue;._ -- . Gas fireplace 1 33.39 " • 'J New, Single Family Residential Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ,- i .. ,, Chimney/1 iner/flue/vent 23.32 23 23.32 \ ' 1.. '::P1tOPERTI ;OWNER: ,.. TE1vAN [ < ;<i: szn ,;;•- « � � i. , Othe Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Address: 16869 SW 65 Avenue #505 Range hood /other kitchen � equipment 1 33.39 37s City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust ' 33.39` Single -duct exhaust (bathrooms, Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 5 23.32 ,'0,) ;;::* •., . }.. >', tea` ; ; -i;- , .;, gy m._ . �,.,. Attic/crawlspace fans 23. 2 , ❑'APPliICAN9'��, �:; -� . � co TA(JT �F " =` - ' ; » Vi e, H rt - h �.. _ ...,.. . _ .,. , Other: 23.32 Business name: same as above Fuel t to P g Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. i j , Imo` Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater ` Fireplace E -mail: Range t is i:: ^,`:- .�:.: ��CONTR?,CTOR4 ),'i% P.: Barbecue • Business name: Comfort Zone Clothes dryer (gas) Other: Address: 1032 NW Corporate Drive i ' ;' °� "" )`�°E�'"- "� ''`NiECHr1NICAI>�PERMII' FEES• I: City/State /ZIP: Troutdale, OR 97060 Subtotal Phone: (503) 667 -5595 Fax: (503) 491 -8252 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lie.: 110091 State surcharge (12% of permit fee) • 12 TOTAL PERMIT FEE ' • t I Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: * Fee methodology set by Tri-County Building Industry Service Board I'IBuilding\Perms\MEC- PermitApp.doc 10/01/09 440 -46177 (11/02 /COM/WEB) Pliffhln .Permit Application . RE CEIVE 1I - • Building Fixtwres. . - , F OR U I:1CI t ;sr O ' _ Cite of Tigard JAN 2 0 2 - anFier 1*:R:,;t* c,.: /Y p 74 �- _ : 13125 S W • 1'Iztl181�'d.. Tigard OR 9722 r /0 / 5i � 4, S: � t lan t;eei ' l heiric:,Si}5.ts s i. t'I71 l`a ~: C 3:59" Ottzer Pit n i iva..�QO G / OF TIGARD t.' ''' ''' lit tiuri t.iri 503.639.41 i5 3r si R � : z RS die i'll m;2'finr ' . . . . � .: lnteca ,tit: -, �e w.tiga - nr.g.ny BUILDING DIVISION .;r,i;tR a� «n : Sorili a cntaaanrornautiun• '31 ' "b \:�: gal*- � »l „za yXt„".^A M:..•. .Wg »'.k�•. }• Y:Fi:F.: "#�` x�`<.:h `.h`:. 1 .....:e. , ,. ,. , s�; ,....:; y ... ; r � �. }�.: k ,; „ 'xM'i.' ^.s. :..�m � .r.: � t � y :: �.� . � TFYPE,,#Itr 4 ��... v :a > >.:..�.. , : . ®' eR v consrrue ®, Demoliiiiin Fiir ip+erftrl in ormu Ii t si -� Ji k / - t ci'i litinn lir C?tg> I (`sa r 7 (tt zt A4ini6,6 ltcmti 0 Sher; :;wee i- '2- family d thin,{ includes IiK1.(I fir each ini thy. connection) z .r � f - 1.:::1 ,:' F e11t ���.: -.: ��atl' i��tlji' �` � t}F':��h'�15`t'�3 "LS'C�`I"1[}�4 wr ��. >;,: ���_:� -,:.� � tt1 ?.h 1 -3 1 ?.78' .01'; and:2-family dw IUiag'. 0 tomntcrcialrindusirial. 4FR 2) hash 437.714 ' SIR (3)hi„rh .50032. ` 0 A i<s r building []:Multi- f.[1rni Each addm inaf barh%kitcherr • 25,62 ''DMiitiar,hailder D Oilier: Fire sprinkler t 'sq. tT:} 1"u !e 2 1 4013 clOito .Tl 1 :ik D 1, 'I t�?i � :` i . st ut Jt� ,11 e' kiltlr .Camp basin orar a drain 18.76 1.5 -G4.. SW 31.r►'11r/lea'vi +_...Dr.)VC- Cit_ ... ,e�7 F�: Tigard, OR "932?3" CJrye+cll. tcat�h.linc,a tr zach strain: t, apt.'n , Project narme: Arlington Ft eigliti Pooti€ri drairs_ino hne r f1 ::_� __ k "azzite'lzld � _' - ts,9attuft trtllrrisr+.. :Cross �pre�ettdare tions to. job.sltL,: ' Mitinuiies 'Rain drain Connector all 15.76 iner sere te4 iter t liricaritl.: ' ) • V ' F'ag Subdisisiott: Arlingiwn hlrights' I�ca6 rte.;'.(0-7 Fixture or item: l"szS. rrta r rtt<I iron', li acl;fluu_ pve4cit tvr ......_ _ . 31 27 ,,:II'•�,1;�;.;' •, <:•. >d wa „ 3311„ :;;.,�. .11':3.:,:,�;,, .:. E}acke�;rtcz;t�zrl'<.e . '1251 ,,�, w,�31, l) �ya��ClYll?T 'tCI�'? <:�4�'.t)f<LKi- ��.., ;�.; Clothes i> iiher . 2:5.02 ' : Nevi,' Single Feint ily Reiiiiien iinl` t)ish tsh a: 2,5".02;,, t nI in 1"nunu n 2 25.€12. • I je lrti ±`sazmp 25:62 • d� _ r t 9 -PERT Q 4ii`NI��,It,. i f }�„�r `,.. ., 3,11.f.. 0.1 °711 T' 1 ' " ''• •;rest tmk 12 51.. , • i 0e •® ..Name :'Sterne firitige tipples' ' �1 `.657 'Addresc;,16869-S AS.enue # 5' tea bat e dt ... 1, 25.1)2 ity'S;:ate ql_ P 1 akb 9iir�s a; ()ROW; 25.02 , (low' `.Phorket (543)387 •7577 J as :,(`5O )387 7615' _. Ice tinik. ; *.i : <z.� wm� S, & 3b, ,qtr _ 4 a . ,, .p , , -:::::.. �, , �� i'R 4 ' graters cpl r1 x ,tr,'.ip ' .. ..... ...... . . . . >.�.x_, ..: ,. . ��:: :,2,<; � �: . Q i�'F t� � ,. tie xs tt x . Rti m ess natmt�.'` A BOts`F i�9cc1'scr tlue: 1: . . . ... .._ ...... .... .. .. . . . vilifier ° ;r~ Ca yland;Forsbet Rind' rtre�;: snkah in lu tciry. ” dytStaietLit". Solar units (potable water) ,;'E'bpan<a ) Fax: 1 J i 'Tub.Shnwrrr`sho.terpan "E maih °gaylantlra sionebridgehontesnxv.eo Urinal - ..N- - ;, l ,. :e•:: ::: ::,,' gel ;A te = =xe=�'> r 3 ,� �s3, 3 .,. _ a >: (� y . . , ,,�_ „ . 3 ..:.:., tt „- :3.;�a "- �a:. > ., . r � : -�.: � � xr- l: 31 3 :1: ' : ,.:33, .. .. .... „_.. .. S>Y - ,. ,�rp . , :. � . max: � : . � ... _.. ^,:... :xt > at tzeater - Rukines name; Legacy I*lnmbin ' Address; ss; 8985 Ilaaely errs Way ;:, it4fStatet7lP= l!pritarid; OR 97223 Subtotal 6,C 'phone'. #5!6:916 =888' Fas, (5113) 297 -4587 :•-CCt31 lc•:: 159281 Plumbing t.ie, no:: 26 -517P8 " • _State snrclunge'412".4 permit fee) •-: 00 #•' Aw hori d sipnateurc: 77,, for- -� – TOTAL PER M11 FE E :(,)'? s Prim name` Matt ,Nelson - I Date: 1 his culron t tia ;z"mt°c7iz i r!st31hio k6:ta}s. .. pee iniraPpli t has re hr lf nrreprperteeat'c�� %t rsrrnfslailr i t¢: *Foe riutthodstiv,ti set it ':Tri•Casant, dui klintz lndeusir :Scrs ivelIo:ud. 1:414eL•r•k i 'aim3l;,Pts1t.,'As,,Tat,spi,4tc toni•ito, 444- 4t,1set( 10)12asci l %1,(131 RI Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: H 5 i /-00o/ 8 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ❑ Routed Plans: Original Plan Submittal Date: I A0 1st Revision Submittal Date: ALi l %Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along %�:I��K l� left only only if approved. ��✓ / Planning Review (contact S at 503 - 718445 / or / A.ei/ @ tigard- or.gov) Land Use Case No. SU ,3f7)71.e 0"VDO I Name A L : . -OS L (P7 Er Zoning ❑'S etbacks: Front 1: Rear t Side Street Side I arage 0-6 Er. Maximum Building Height 3 6 Actual Building Height 0 / Visual Clearance � / $asements ��� E Sensitive Lands Type: lV Notes: Original Plan: Approved 121" Not Approved ❑ Date: l ici-I � ! I Revision 1: Approved 4� Not Approved ❑ Date: &''i + Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) t1, Actual Slope: f Notes: Original Plan: Approved Not Approved ❑ Date: Z Revision 1: Approved Not Approved ❑ Date: `�- Revision 2: Approved ❑ Not Approved ❑ Date: • (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd@tigard-or.gov) ❑ Street Trees Protected Trees Notes: 1ev,h, 5'1.2 t In, lo )5 �J �,k Original Plan: Approved Not Approved �{, Date: r/�c/a il � pp � pp y' Revision 1: Approved Not Approved ❑ Date: i ./`l /ao1! Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@ @ard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: I ( / ' Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes4 N ❑ Date Routed to Building: / r Page 2 of 2 i s STONEBRIDGE - .. �:_: _ : _ ism,,, .,, OBE: 1438 I30MESS NW IOLC LOT: 67 1 0609 SW 66 AVE.. fli 606 DATE: 2/1/11 LASE OSWEGO. OREGON 97036 PROPERTY' ARLINGTON (600367 -7677 RECEIVE! HEIGHTS CITY: TIG FEB 0 2 2011 S 1 " =20' PLAN No.: 198A CITY OF TIGARD OPT. 2 ELEVATION PLANN ING/ENGINEERING s E m Q 402 W 3 408 406 404 \ 400 410 W I B n 1 m 398 % Ma 10' r 111101115 \ 396 m \0 \ 1 410 394 ., Is' 20,_0. \ \ w lilrlaga FT. �, \ � . , ,A ' 606 d.e .. „El -�8 �4 \ D, p °: Z \ 5 � \ I) 396 406 �8 y ? -.� m e „ 404 `` A ��Qvj _ � t %l® ,\)t 394 15 402 \, %., . \ .- OP ‘ G ilir 400 114, _' 5 398 ‘' \ � �i �■ _ 396 LOT COVERAGE STREET TREES LOT AREA: 5,866 SQ. FT. 0 BUILDING AREA: 2,084 SQ. FT. PERCENTAGE: 35% — RAYUD NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. THEY R MAY N VARY AND HEIGHTS AND BE SUBJECT TO CI- IA ARE ESTIMATES. CHANGE. LOT *61 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5066 eq. ft. ` STREETLIGHTS, AND OTHER SITE CONDITIONS. Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 1.4-ll c i1^G , am the general contractor or the owner - builder at the following address: Site Address: • y � /5 Sc..) sip. ✓ ✓'re i.i ,,z City: Permit #: 115 ra ©f/ - Ovolg Subdivision/Lot #: 1 and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive • wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: Date: 1- - General Contractor or Owner - Builder I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: _ M ?ST. 7 * 000/x' "T 6A-R.D Site Address: r q Subdivision/Lot #: and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: Date: - 7-.24-/i Owner /General Contractor /Authorized Agent Print Name: 13 1, 13 r 4 9 r ,, ORSC Section N1107.2. High- efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE CERTIFICATION I, gz4-9-/E- , ,,owner/ agent for (5414e R e ig' .e S -ZAyc ., (PLEASE PRI TV) (PE HOLDER) do hereby certift that the fol thgf/ocatlon meets City of Tigardandhuse ;and development standards -, rY-.. at for street tree installation and is consistent ' - 2pith - the approved =site plan. PERMIT NO.: /l4Sa 606/3-- SITE ADDRESS: i Si2 9 y Sw 5';,,, m ,nc. , a/,Z Ore S UBDI VISION: A-4 /, tii h f � � %5 S LOT #: 1 SIGNATURE: DATE: 7- 2 - (OWNER / AGENT) RECEIVED & VERIFIED BY: DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 07/01/2010 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard V Received 1)(1 // permit No.: (!T _coot? 13125 S W Hall Bl d.. Tigard, OR 97 1111 • 19 Date /By: . C ' Phone: 503.639.4171 Fax: 503 ate eaB >' Y S Plan Review Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: Ju ris: RI See Page 2 for I) TIGAR Internet: www.tigard- or.gov J �� ` Notified/Method: ,9 Supplemental Information TYPE OF WORI'� ‘c\''' �\ FEE* SCHEDULE ® New construction ❑ 01,0 9 Description For special information use checklist. Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑W New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 building SFR (3) bath 500.32 ❑ Accessory g ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1529. SW SV mmwviGl .) D r t yr Catch basin or area drain l 18.76 Drywell, leach line, or trench drain 18.76 City/State /ZIP: Tigard, OR 97223 Footing drain (no. linear ft.: _ ) Page 2 Suite/bldg. /apt. no.: 1 Project name: Arlington Heights Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _ ) Page 2 Storm sewer (no. linear ft.: _ ) Page 2 Water service (no. linear ft.: _ ) Page 2 Subdivision: Arlington Heights I Lot no.: ( Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New, Single Family Residential Dishwasher 25.02 C -/ /dye i � r eiyu r ( G7 f Drinking fountain 25.02 7 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Stone Bridge Homes Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 16869 SW 65 Avenue #505 Garbage disposal 25.02 City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02 Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: SEE ABOVE Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Deirdre Britt Roof drain (commercial) 12.51 Address: Sink/basin /lavatory 25.02 City/State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: dbritt@stonebridgehomesnw.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Jardine Plumbing Water piping/DWV 56.29 Address: PO Box 186 Other: 25.02 City/State /ZIP: Estacada, OR 97023 Subtotal Minimum permit tee: $72.50 Phone: (503)351 -8532 Fax: (503) 6302882 '-).7- J % OGJrj{ CCB Lie.: 108747 'Oil /j, Plumbing Lic. no.: 93-118 Plan review (25% of permit fee) - State surcharge (12% of permit fee) Authorized signature: 7 ( 70 TOTAL PERMIT FEE Print name: Ja Jardine Date: This permit application expires if a permit is not obtained within 180 days y after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \PI.MU- PermitApp.d°c 10/01/09 440 - 46161110/02 /CUM /WG11I